The Effect Of Optimal Cardiac Resynchronization Therapy Pacing Rate In Non-Ischemic Heart Failure Patients On The Quality Of Life And Echocardiographic Findings.
Abdel Hady, Y., Abdel Qader, E., Shafiq, M. (2022). The Effect Of Optimal Cardiac Resynchronization Therapy Pacing Rate In Non-Ischemic Heart Failure Patients On The Quality Of Life And Echocardiographic Findings.. EKB Journal Management System, 3(1), 277-290. doi: 10.21608/ejmr.2022.222427
Yasser Ahmed Abdel Hady; Eslam Talaat Abdel Qader; Mohamed Shafiq. "The Effect Of Optimal Cardiac Resynchronization Therapy Pacing Rate In Non-Ischemic Heart Failure Patients On The Quality Of Life And Echocardiographic Findings.". EKB Journal Management System, 3, 1, 2022, 277-290. doi: 10.21608/ejmr.2022.222427
Abdel Hady, Y., Abdel Qader, E., Shafiq, M. (2022). 'The Effect Of Optimal Cardiac Resynchronization Therapy Pacing Rate In Non-Ischemic Heart Failure Patients On The Quality Of Life And Echocardiographic Findings.', EKB Journal Management System, 3(1), pp. 277-290. doi: 10.21608/ejmr.2022.222427
Abdel Hady, Y., Abdel Qader, E., Shafiq, M. The Effect Of Optimal Cardiac Resynchronization Therapy Pacing Rate In Non-Ischemic Heart Failure Patients On The Quality Of Life And Echocardiographic Findings.. EKB Journal Management System, 2022; 3(1): 277-290. doi: 10.21608/ejmr.2022.222427

The Effect Of Optimal Cardiac Resynchronization Therapy Pacing Rate In Non-Ischemic Heart Failure Patients On The Quality Of Life And Echocardiographic Findings.

Egyptian Journal of Medical Research
Article 21, Volume 3, Issue 1, January 2022, Pages 277-290    PDF (426.86 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2022.222427
Authors
Yasser Ahmed Abdel Hady; Eslam Talaat Abdel Qader; Mohamed Shafiq
Cardiology department, Faculty of Medicine, Beni-Suef University, Egypt.
Abstract
Cardiac resynchronization therapy (CRT) has become an important treatment strategy for a select group of heart failure (HF) patients, few studies have examined the optimal basal atrial pacing rate and its impact on long-term outcome in CRT patients.
30 CRT patients were divided to two groups and programmed to 70 – 80 bpm basal atrial pacing rates respectively for 6 months with comparing the effect of each programming on the quality of life using Minnesota heart failure questionnaire and echocardiographic findings ( EF, LVEDD , LVESD , LVEDV, LVESV ).
There was a highly significant difference between both groups as group 2 (with basal heart rat=80) had higher MFHQ after the programming with mean=67.2 ±9.1 vs group 1 (with basal heart rate =70) with mean 50.6 ±8.3 (P-value<0.001).Also, there was no significant effect of the programming on NYHA of group I (P-value=0.301) but, the programming increase the NYHA of group II significantly (P-value=0.014). The programming didn’t affect the (EF, LVEDD, LVESD, LVEDV, LVESV) of both groups significantly (p-value = 0.916, 0.786 for both groups). The lower basal trial pacing rate the better quality of life and the lower NYHAclass.
Keywords
CRT; pacing rate; MLHFQ; quality of life
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